Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2003
Also: FAMILY PRACTICE, PATHOLOGY
NPI: 1972546604
Practice Locations (1)
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
Source: CMS National Downloadable File, September 2026.